Individual
ELAINE DEREMER COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PE
Contact information
Practice address
1520 PINE ISLAND RD, MERRITT ISLAND, FL 32953-6611
(321) 208-7989
Mailing address
1520 PINE ISLAND RD, MERRITT ISLAND, FL 32953-6611
(321) 208-7989
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
57426
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-3662486
HANDYPRO OF THE SPACE COAST
FL
Enumeration date
11/16/2015
Last updated
02/19/2016
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